Colostomy granulomas, not always what they seem (July 2022)

Published: 06/28/2022

Authors: Frederik Lecot, Kieran Sheahan, Ian S. Reynolds, Daniel Hechtl, Shobhit Arya and Rory Kennelly

A 53-year-old patient with a history of Crohn’s disease had experienced painful bleeding from colostomy granulomas for 7 years. Repeat biopsies diagnosed a stomal adenocarcinoma; multiple previous biopsies had been negative for malignancy. A left colectomy was performed. Definitive histopathology showed a mucinous pT2N0 adenocarcinoma with a complete resection